Figures 3–12. Figure 3. The operative site of tooth #10 indicates a good zone of fixed, keratinized gingiva and adequate dimensions to permit the placement of an implant. Figure 4. A 4-mm, disposable, soft-tissue biopsy punch is used in the center of the healed operative site. Turning and pressing its handle will incise a circular piece of tissue, permitting its simple removal. Of note is the well-preserved papilla. Figure 5. The 2-mm diameter pilot drill is used after a cortical entry made by a high-speed #557 bur. It is directed to depth 1 mm beyond the full depth of the planned implant and in a direction that will permit a proper angle of emergence. Figure 6. Utilization of an osteotome to expand the crestal portion of the site instead of countersink. Figure 7. The Stabledent implant. Note the aggressive wide-spaced and deep thread design. Figure 8. The implant is hand ratcheted to place. Figure 9. The implant abutment in optimal position within the neutral zone of the site. Figure 10. (A, B) The machined acrylic sleeve used to fabricate a well-adapted provisional and the preformed ion crown that is filled with fast-set acrylic to pickup sleeve. (C) The provisional is shaped, polished, and seated to place the same day as surgery. The placement of a well-contoured provisional aids in the redevelopment of papilla. Figure 11. Final restoration in place 8 weeks postoperatively. Note the exceptional soft tissue and esthetic result. Figure 12. Final X ray shows the seating of the final restoration and the excellent osseous adaptation to the aggressive implant thread design